Healthcare Provider Details

I. General information

NPI: 1780588152
Provider Name (Legal Business Name): ISABELLA ZOGLIO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MERAMEC BLUFFS DR
BALLWIN MO
63021-3300
US

IV. Provider business mailing address

4500 SWAN AVE APT 345
SAINT LOUIS MO
63110-2191
US

V. Phone/Fax

Practice location:
  • Phone: 517-899-6636
  • Fax:
Mailing address:
  • Phone: 517-899-6636
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number2026035703
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: